Individual provider Active NPI

Christine Zelnik, MA, CCC-SLP

  • Speech-Language Pathologist
  • Woodland, CA
National Provider Identifier
1487167938
Registry record updated Nov 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
25283 Issued in CA
Practice address
1100 Main St Ste 190
Woodland, CA 95695-3515
Phone
(530) 662-2835
NPI assigned
Nov 7, 2017
Last updated
Nov 7, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 25283 CA Primary

Addresses

Primary practice location

1100 Main St Ste 190
Woodland, CA 95695-3515

Mailing address

222 D St Apt 214
Davis, CA 95616-4560
Phone (734) 474-6383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211112001758 CA Practitioner - Qualified Speech Language Pathologist 0042609059 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
25283CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Speech Therapy LLC CurrentSince Apr 6, 2021 Accepting new patients
Burger Physical Therapy Services Inc Past Accepting new patients
Burger Physical Therapy and Rehabilitation Agency Inc Past Accepting new patients

Locations

5420 Douglas Blvd
Ste F
Granite Bay, CA 95746
Phone (916) 287-1517

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510012800000",
    "number": "1487167938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 D ST APT 214",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956164560",
            "telephone_number": "734-474-6383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 MAIN ST STE 190",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956953515",
            "telephone_number": "530-662-2835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELNIK",
        "first_name": "CHRISTINE",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-07",
        "last_updated": "2017-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "25283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.